Doc Ron

I am a Filipino neurosurgeon

[Doc Ron @SirRonMD]

A3. If patient has been on ASA for a long time and we can’t wait 7-10 days for surgery, we just transfuse platelets periop! #CardioBytes @doc_jdam @drbrainhacker

[Doc Ron @SirRonMD]

A3. Something we commonly see among patients on anticoagulants and antiplatelets. Preop on the left, postop on the right.

[Jose Donato Magno @doc_jdam]

Q3. What parameters guide the decision for antiplatelet/anticoagulation in various neurologic disorders?

#CardioBytes: Episode 14: MindingTheMuscle

[Doc Ron @SirRonMD]

A3. Association of ASA, anticoagulants with chronic subdural hematomas well-known! Post-op, when do you resume? This study says it makes no difference if early or late! #CardioBytes @doc_jdam @drbrainhacker

[Doc Ron @SirRonMD]

@doc_jdam @drbrainhacker Depends on whether preop or postop. We need to maintain cerebral perfusion!

[Doc Ron @SirRonMD]

A2. Going back to SAH, there’s such a thing as “Neurogenic Stunned Myocardium” @doc_jdam @drbrainhacker #CardioBytes

[Doc Ron @SirRonMD]

A1. Life-threatening, important to know! #CardioBytes

[Jose Donato Magno @doc_jdam]

Ok here we go!
Q1. What neurologic conditions must be anticipated in common cardiovascular diseases?

#CardioBytes: Episode 14: MindingTheMuscle

[Doc Ron @SirRonMD]

A1. This is acute subarachnoid hemorrhage from a ruptured aneurysm. Usually presents with sudden severe headache. Risk factors: old age, female gender, smoking, hypertension!

[Doc Ron @SirRonMD]

One of the most sensitive areas is the hippocampus, which is responsible for memory encoding. So patients, when they survive, may have amnesia or memory problems!

[Doc Ron @SirRonMD]

Classic answer is 3 to 4 minutes. But I haven’t seen the original papers to support this. #CardioBytes

[Jose Donato Magno @doc_jdam]

@drbrainhacker @SirRonMD How soon before brain cells die after non-perfusion?

#CardioBytes: Episode 14: MindingTheMuscle

[Doc Ron @SirRonMD]

@drbrainhacker @doc_jdam Refer to Neurosurgery!

[Doc Ron @SirRonMD]

A1: And two diseases that may present the same way in the ER. #CardioBytes

[Jose Donato Magno @doc_jdam]

Ok here we go!
Q1. What neurologic conditions must be anticipated in common cardiovascular diseases?

#CardioBytes: Episode 14: MindingTheMuscle

[Doc Ron @SirRonMD]

Tagging @drbrainhacker

[Doc Ron @SirRonMD]

You can never go wrong with ❤️. #CardioBytes

[Jose Donato Magno @doc_jdam]

Before I post Q1, let me ask @drbrainhacker and @SirRonMD: if you were to pick a soulmate, would you rather pick one with brains or one with heart? hahaha

#CardioBytes: Episode 14: MindingTheMuscle

[Doc Ron @SirRonMD]

Hello #CardioBytes! This is Doc Ron Baticulon @ronibats. I’m a neurosurgeon, teacher, and writer. Happy to be with Heart + Brain tonight!

[Doc Ron @SirRonMD]

@jvgermarmd Yes Maam, ideally talaga they would have been studying for this for quite some time. But it seems there had been a communication problem (not pointing fingers here) which led to all this. Nonetheless, the online discussions are worth pondering over.

[Doc Ron @SirRonMD]

Down to the wire! Congratulations to the champions of #UtakAtPuso2023, GangGreen27! @upcm2023 @ariannerrr

[Doc Ron @SirRonMD]

@ariannerrr Teka bibili lang ako sa Pedro Gil

[Doc Ron @SirRonMD]

And the winners are.... #UtakMaroon Congratulations @_lancececilia @Chard_izard @MigsMedina31! 🙌🏼

[Doc Ron @SirRonMD]

@ariannerrr @_lancececilia @Chard_izard @MigsMedina31 Candies, perhaps? :) LOL